A case of carotid artery dissection suggesting ADEM

被引:0
作者
Walker, Jennifer C. [1 ]
Brussel, Wim [1 ]
Erasmus, Corrie E. [2 ]
机构
[1] Rijnstate Hosp, Dept Pediat, POB 9555, NL-6800 TA Arnhem, Netherlands
[2] Radboud Univ Nijmegen Med Ctr, Dept Pediat Neurol, Nijmegen, Netherlands
关键词
ADEM; carotid artery dissection; clinical phenomena; MRI; diffusion-weighted imaging;
D O I
10.3233/JPN-2011-0464
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We present a case of a boy with recurrent left-sided hemiparesis. Early magnetic resonance imaging showed features suggesting acute disseminated encephalomyelitis (ADEM). However, he deteriorated neurologically on high dose methylprednisolone. A follow- up cerebral magnetic resonance imaging showed an extensive infarction due to carotid artery dissection. Distinguishing features between ADEM and acute stroke in childhood are described, but at early stage, it might be difficult to distinguish ADEM from acute stroke.
引用
收藏
页码:233 / 237
页数:5
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